CT scan of abdomen and pelvis without contrast at Munson Healthcare Charlevoix Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT ABD + PELVIS W/O IV CONT (ORAL ONLY)

Charlevoix, MI

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How this price compares nationally

Munson Healthcare Charlevoix Hospital’s median price of $1.9k is 256% above the median hospital's median price ($524), higher than 82% of the 2,634 hospitals reporting CPT 74176. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74176 at Munson Healthcare Charlevoix Hospital

Negotiated rates from the hospital’s own file: 6 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare managed medicaid professional · fee schedule · both	$52.19	$52.19	$52.19 – $52.19
2	Blue Cross Blue Shield managed medicaid professional · fee schedule · both	$53.23	$53.23	$53.23 – $53.23
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$92.70	$113.72	$77.88 – $170.58
4	Aetna medicare advantage professional · fee schedule · both	$94.37	$115.23	$78.47 – $172.85
5	Molina medicare advantage professional · fee schedule · both	$94.37	$115.23	$78.47 – $172.85
6	UnitedHealthcare commercial professional · fee schedule · both	$168.05	$168.05	$95.77 – $240.32
7	Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient	$168.38	$168.38	$168.38 – $168.38
8	UnitedHealthcare managed medicaid facility · fee schedule · outpatient	$168.38	$168.38	$168.38 – $168.38
9	Cigna commercial professional · fee schedule · both	$157.55	$186.98	$122.93 – $280.47
10	Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial professional · fee schedule · both	$167.24	$198.48	$130.49 – $297.72
11	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,097	$1,097	$1,097 – $1,097
12	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,119	$1,119	$1,119 – $1,119
13	Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,185	$1,185	$1,185 – $1,185
14	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,868	$1,868	$1,868 – $1,868
15	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$2,029	$2,029	$2,029 – $2,029
16	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,029	$2,029	$2,029 – $2,029
17	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$2,109	$2,109	$2,109 – $2,109
18	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,109	$2,109	$2,109 – $2,109
19	Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · inpatientfrom % of charges	$2,157	$2,157	$2,157 – $2,157
20	Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,157	$2,157	$2,157 – $2,157
21	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$2,335	$2,335	$2,335 – $2,335
22	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,335	$2,335	$2,335 – $2,335

Last updated: Apr 17, 2026

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